The Intervention of the Social Service in the Multidisciplinary Teams to Combat COVID-19. The Case of the Municipality of Amadora (Portugal)

The creation of Multidisciplinary Teams to monitor patients with COVID-19 and those infected with SARS-CoV-2 in a situation of home confinement was one of the measures established by the Portuguese government to help stop the spreading of the infection in the parishes of the Lisbon Metropolitan Area more affected by the pandemic. To know its way of functioning and acting, as well as the role of social workers in the context of crisis and public health emergency, a qualitative study was developed based on interviews by focus groups and document analysis. It was found that the Multidisciplinary Teams and the intervention model carried out were fundamental in helping to break the transmission chains and prevent the growth of new contamination, with social workers having a crucial role in supporting the most vulnerable households in a containment situation.

External Validation of Models to Predict Unsuccessful Endometrial Ablation: a Retrospective Study

Study Objective: External validation of our previously presented and locally established prediction models to help counsel patients for failure of endometrial ablation (EA) or surgical re-intervention within 2 years after EA, called ‘Failure model’ and ‘Re-intervention model’ respectively. Design: Retrospective external validation study, minimal follow-up time of 2 years.Setting: Two non-academic teaching hospitals in the Netherlands.Patients: Pre-menopausal women (18+) who had undergone EA for abnormal uterine bleeding problems between January 2010 and November 2012. A total of 329 patients were eligible for analysis.Interventions: Interventions used for EA were Novasure (Hologic, Marlborough, Massachusetts, US) and ThermaChoice III (Ethicon, Sommerville, US). Measurements and Main Results: The Area Under the Receiver Operating characteristics Curve (AUROC) for the outcome parameter of failure within 2 years after EA was 0.59 (95% CI 0.53 – 0.65). Variables in this model were dysmenorrhea, age, parity ≥5 and preoperative menorrhagia. The Hosmer-Lemeshow test showed no significant difference between the observed and predicted outcome. (Chi-square: 4.62, P-value: .80) The AUROC for the outcome parameter surgical re-intervention within 2 years was 0.62 (95% CI 0.53 – 0.70) Variables in this model were dysmenorrhea, age, menstrual duration> 7 days, parity ≥5 and a previous caesarean section. The Hosmer-Lemeshow test showed no significant difference between the observed and predicted outcome (Chi-square 11.34, P-value .18).Conclusion: Both the failure model and the re-intervention model can be used to predict unsuccessful endometrial ablation in the general population within two years after the procedure. It can be used prior to surgery to facilitate tailor-made shared decision-making, and help counsel patients with regards to the potential outcome of their treatment with the use of a personally calculated percentage.

Research on artificial intelligence safety prediction and intervention model based on ship driving habits

Based on the analysis of the causes of ship accidents, the development prospect and development direction of ship intelligent safe driving, the artificial intelligence safety prediction and intervention model is put forward. This model solves the problem of ship intelligent safety prediction by using intelligent analysis technology and network technology, and promotes the development of ship intelligence and ship safety navigation technology. Additionally, it expands the channels of obtaining information, connects the ship's mechanical and electrical equipment, collects, stores and analyzes the data reasonably, and constructs the intelligent analysis and processing platform of ship small-world data processing to implement intelligent intervention. What is impressive is that it makes ship navigation safer, more economical, more reasonable and optimized, and accelerates the development of ship artificial intelligence safe navigation.

Trauma and Social Work in South Africa, Need for a Comprehensive Trauma Intervention Model for Social Workers

A significant proportion of South Africans are exposed to traumatic life experiences annually. The trauma is exacerbated by high crime rate which ranges from murder, violence, house breaking and theft. The trauma victims end up in the hands of social workers who are ill prepared to deal with such clients. The motivation for this study was built on assessments that indicated at the time of the study that social work students in South Africa receive little or no training on trauma and trauma intervention. The purpose of this literature study was to draw together relevant knowledge on trauma in South Africa, trauma intervention and the importance of trauma intervention training for social workers in South Africa. Articles reviewed were identified through search engines such as Google Scholar, JSTOR, ProQuest, EBSCOHost, Boloka-NWU Institutional Repository (NWU-IR), Scopus, Science Direct and Web of Science were the databases and search engines utilized in the search. The inclusion criteria that were used to help identify relevant and recent studies using key words regarding the topic of trauma, were chapters in books; conference proceedings; full-text journal articles and higher degree papers. The literature consulted exposes how South Africans are exposed to traumatic life events and provided a deeper understanding of the problem of trauma and trauma intervention. The literature study also clarified why it is critical to have a trauma intervention model for social workers in South Africa and provided guidelines for the development of the trauma intervention manual.

Developing a Brief Tele-Psychotherapy Model for COVID-19 Patients and Their Family Members

Objective: The COVID-19 pandemic is negatively impacting the mental health of COVID-19 patients and family members. Given the restrictions limiting in person contact to reduce the spread of the virus, a digital approach is needed to tackle the psychological aftermath of the pandemic. We present the development of a brief remote psychotherapy program for COVID-19 patients and/or their relatives.Methods: We first reviewed the literature on psychotherapeutic interventions for COVID-19 related symptoms. Based on this evidence, we leveraged ongoing clinical experiences with COVID-19 survivors and family members to design an intervention model that could be disseminated and integrated into the workflow of the mental health system.Results: This 8-session model –inspired by constructivist and hermeneutic-phenomenological therapies– serves COVID-19 patients during hospitalization, remission and recovery. This model can also be delivered to people dealing with the COVID-19 hospitalization/discharge of a family member, or the loss of a family member due to COVID-19.Conclusion: We described a remote psychotherapeutic approach to tackle the COVID-19 pandemic psychological aftermath. To date, the approach seems feasible and highly customizable to patients’ needs. Studies are underway to test its preliminary efficacy. Once proven efficacious, this treatment model could provide a blueprint for future tele-psychology wide-scale interventions.

Using Theory of Change to inform the design of the HIV+D intervention for integrating the management of depression in routine HIV care in Uganda

There is growing recognition of the burden of depression in people living with HIV/AIDS (PLWHA), associated with negative behavioural and clinical outcomes. Unfortunately, most HIV care providers in sub-Saharan Africa do not routinely provide mental health services to address this problem. This article describes the process of developing a model for integrating the management of depression in HIV care in Uganda. Theory of Change (ToC) methodology was used to guide the process of developing the model. Three successive ToC workshops were held with a multi-disciplinary group of 38 stakeholders within Wakiso district, in the Central region of Uganda. The first 2 workshops were for generating practical ideas for a feasible and acceptable model of integrating the management of depression in HIV care at all levels of care within the district healthcare system; while the third and final workshop was for consensus building. Following meaningful brainstorming and discussions, the stakeholders suggested improved mental wellbeing among PLWHA as the ultimate outcome of the program. This would be preceded by short-term and intermediate outcomes including reduced morbidity among persons with HIV attributable to depression, allocation of more resources towards management of depression, increased help-seeking among depressed PLWHA and more health workers detecting and managing depression. These would be achieved following several interventions undertaken at all levels of care. The participants further identified some indicators of successful implementation such as emphasis of depression management in the district healthcare plans, increased demand for anti-depressants etc; as well as various assumptions underlying the intervention. All these were graphically aligned in a causal pathway, leading to a ToC map, contextualizing and summarizing the intervention model. The ToC was a valuable methodology that brought together stakeholders to identify key strategies for development of a comprehensible contextualized intervention model for managing depression within HIV care in Uganda; allowing greater stakeholder engagement and buy-in.